| NPI | 1336106400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34005392A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 87000361A) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2015-06-24 |