| NPI | 1144545898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001773A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 261100) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000222A) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 35001773A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 85000047A) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2018-10-11 |