| NPI | 1447262746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000787A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 39000787A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000985A) | |
| 364S00000X Clinical Nurse Specialist (Licence: IN 70000166A) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: IN 70000166A) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |