| NPI | 1205276433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009869A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: M8007) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2024-04-18 |