| NPI | 1023050382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 33002493A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801018351) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-02-11 |