| NPI | 1922076850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39000203A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33000464A) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |