| NPI | 1417354192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002981A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6407074621) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2016-12-20 |