| NPI | 1861682114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002096A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10510) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-03-03 |