| NPI | 1609093020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001910A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401006495) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2026-05-18 |