| NPI | 1790301125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257186) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 99096982A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34009868A) | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-06-22 |