| NPI | 1508142597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002385A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000228A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39000451A) | |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2016-05-15 |