| NPI | 1679863880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 85000067A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002614A) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2015-03-28 |