| NPI | 1306808035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001501A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018059) |
| 103T00000X Psychologist (Licence: MI 6301010734) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-06-09 |