| NPI | 1235247164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001655A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001637A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000759A) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-05-03 |