| NPI | 1457485765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 33005185A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7189) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-02-07 |