| NPI | 1619145000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001904A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001646A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000284A) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2010-12-21 |