| NPI | 1144435678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39000832A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000589A) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |