| NPI | 1124390398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34006616A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006019A) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-12-05 |