| NPI | 1154975423 |
|---|---|
| Former Name | SIRINA RAUFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9982123) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker (Licence: WI 131277-121) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-04-11 |