| NPI | 1104322148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003194A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 39003194) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-01-08 |