| NPI | 1366153660 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010085A) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34010085A) | 
| Enumeration Date | 2022-12-07 | 
| Last Update Date | 2022-12-12 |