| NPI | 1336492826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007530A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008819) |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2018-07-05 |