| NPI | 1154435717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003662A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34003662A) |
| 104100000X Social Worker (Licence: IN 34003662A) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-04-04 |