| NPI | 1790025419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 886569896) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 886569896) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |