| NPI | 1609244011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35000365A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000079A) |
| 1041S0200X Social Worker, School (Licence: IN 33002864A) | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |