| NPI | 1366560138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39001784A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001784A) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000453) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-10-09 |