| NPI | 1487755716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 39001561A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 39001561A) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-12-17 |