| NPI | 1245237114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003375) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34003375) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-08-27 |