| NPI | 1912286014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000376A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001055A) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-09-29 |