| NPI | 1073738704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005380A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33004997A) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-10-13 |