| NPI | 1649245275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001269A) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: IN 39001269A) |
| 101YP2500X Counselor, Professional (Licence: IN 39001269A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000446A) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-10-30 |