| NPI | 1770873853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20044025A) |
| 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 | 2026-02-06 |