| NPI | 1629487749 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004227a)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 34004227a)  | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 34004227a)  | |
| 101YM0800X Counselor, Mental Health (Licence: IN 34004227a)  | |
| 102L00000X Psychoanalyst (Licence: IN 34004227a)  | |
| 103K00000X Behavior Analyst (Licence: IN 34004227a)  | |
| 106H00000X Marriage & Family Therapist (Licence: IN 34004227a)  | |
| Enumeration Date | 2014-08-04 | 
| Last Update Date | 2014-08-11 |