| NPI | 1366652554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE LIMHP-645) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001610A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-02-10 |