| NPI | 1215064647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34005059A) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IN 34005059A) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-04-05 |