| NPI | 1467544163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39000075) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000473) |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |