| NPI | 1285988360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001312A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000019A) |
| 104100000X Social Worker (Licence: IN 33001275A) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |