| NPI | 1770873853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001541A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34006895A) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-07-16 |