| NPI | 1245370360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39000338A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001380A) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |