| NPI | 1093440935 |
|---|---|
| Former Name | SITHARA VINCENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025744) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: IL 150.107656) | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2023-09-01 |