| NPI | 1558421073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39001877A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042028A) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-08-29 |