| NPI | 1912346271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001382A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001460A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001131A) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2016-09-16 |