| NPI | 1588393904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 3401062A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: FL sw21876) | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2025-03-01 |