| NPI | 1699278820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004187A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003613A) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701007564) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2025-07-16 |