| NPI | 1780835843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR P1710370) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1509119) |
| 101YM0800X Counselor, Mental Health (Licence: AR P1710370) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2023-05-17 |