| NPI | 1063751790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34006887A) |
| 104100000X Social Worker (Licence: IN 33006230A) | |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2025-05-22 |