| NPI | 1962035345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008625A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 34008625A) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |