| NPI | 1669931341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IN 33008127A) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2022-02-24 |