| NPI | 1205888146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 34003872) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71001242A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |