| NPI | 1609998558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001684A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001557A) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |