| NPI | 1811085905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35000417A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34002501A) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-06-30 |