| NPI | 1952386500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002330) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34002330) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2009-05-03 |