| NPI | 1558391144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: IN 20041513A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39001205A) |
| 163W00000X Registered Nurse (Licence: IN 28043229A) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-05-20 |