| NPI | 1023407061 |
|---|---|
| Former Name | CAROL RAJU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95397198) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 36262) |
| 172V00000X Community Health Worker (Licence: CA 95397198) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2025-05-15 |