| NPI | 1881761963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 27703) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000207A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001444A) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-09-11 |