| NPI | 1164199386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009913A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 17060) |
| 1041C0700X Social Worker, Clinical (Licence: CA 101747) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-12-12 |