| NPI | 1164873881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009000A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7687) |
| 104100000X Social Worker | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2020-12-09 |