| NPI | 1578794038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH13571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL IMH 7145) |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2022-07-22 |