| NPI | 1013399732 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008151A) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 104100000X Social Worker (Licence: IN 33007696A) | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2015-06-18 | 
| Last Update Date | 2019-10-02 |