| NPI | 1972241271 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 99121931A) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IN 00000) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-11-15 |