| NPI | 1679587398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001613A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 35001613A) |
| 101YS0200X Counselor, School (Licence: IN 35001613A) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-07-31 |