| NPI | 1568457737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39000209A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001446A) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2017-10-27 |