| NPI | 1306049861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001450A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180002752) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000980A) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2014-03-19 |