| NPI | 1609127430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007472A) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2016-03-10 |