| NPI | 1598036600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34012095A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 2010-R) |
| 101YP2500X Counselor, Professional (Licence: GA 006663) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2025-10-09 |