| NPI | 1972859478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001765A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 35001765A) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2021-09-20 |