| NPI | 1275930125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34002537A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 87001167A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000359A) | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2016-10-07 |