| NPI | 1174692941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34004792A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 34004792A) |
| 101YP2500X Counselor Professional (Licence: IN 34004792A) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-11-25 |