| NPI | 1164661757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002331A) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2022-11-03 |