| NPI | 1851380380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001834A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001088A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000997A) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2018-10-17 |