| NPI | 1205851904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39000935A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39000935A) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-07-17 |