| NPI | 1992084131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005513A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000436A) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801091039) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |