| NPI | 1578512943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000544A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000547A) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-07-14 |