| NPI | 1255337903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34000892) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |