| NPI | 1154407484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35000253A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000219A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN A1235R) | |
| 104100000X Social Worker (Licence: IN 34002621A) | |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2007-07-08 |