| NPI | 1912303660 |
|---|---|
| Former Name | MAVISH KHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005286) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW005286) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2022-05-25 |