| NPI | 1043571219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34006524A) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IN 33005231A) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2024-08-29 |