| NPI | 1275952012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006321A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017004755) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2026-03-11 |