| NPI | 1841273711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003501A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000690A) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2008-06-28 |