| NPI | 1255916821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34010395A) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: IN 33010134A) | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2023-05-04 |