| NPI | 1144881780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002565A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001839A) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |