| NPI | 1316142458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006718A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 3305215A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000624A) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-12-23 |