| NPI | 1255449096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001023A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 33002720A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001143A) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-10-21 |