| NPI | 1912966995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39001611A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33002105A) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |