| NPI | 1386981124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 870001476A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000487A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001097A) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |