| NPI | 1093727687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34003950A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39001064A) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2013-07-01 |