| NPI | 1013173327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34004924A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004924A) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2021-07-12 |