| NPI | 1962919787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008039A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 34008039A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 34008039A) | |
| 101YP2500X Counselor, Professional (Licence: IN 34008039A) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |