| NPI | 1205221363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005804) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17225) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34008140A) | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2023-08-02 |