| NPI | 1699060913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006478A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001519A) | |
| 104100000X Social Worker | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-08-18 |