| NPI | 1689070435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008575A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000663A) |
| 104100000X Social Worker (Licence: IN 33006295A) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2022-01-18 |