| NPI | 1376560458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000050A) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: IN 34000050A) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-12-26 |