| NPI | 1851315477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001121A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000789A) |
| 104100000X Social Worker (Licence: IN 33001683A) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-09-19 |