NPI | 1376518092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 34002767A) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 34002767A) |
101YM0800X Counselor, Mental Health (Licence: IN 34002767A) | |
Enumeration Date | 2006-02-17 |
Last Update Date | 2025-09-11 |