| NPI | 1376529123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34002211) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000219) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-09 |