| NPI | 1558419184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH00003126) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NBCC44397) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |