| NPI | 1164713954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003192A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 39001297A) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |