| NPI | 1710026372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001502A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001493A) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-07-31 |