| NPI | 1336260462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002880A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 35000593A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 35000593A) | |
| 101YP1600X Counselor, Pastoral (Licence: IN 35000593A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000593A) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-09-18 |