| NPI | 1992078091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 35002005A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1678) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2022-08-23 |