| NPI | 1386741387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 01035011) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: IN 01035011) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-05-28 |