| NPI | 1073870481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118237) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006138A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34006979A) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2014-04-04 |