| NPI | 1871581793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000432A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 39000432A) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-06-01 |