| NPI | 1831275320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004861A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000641A) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149010628) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-11-14 |