| NPI | 1336570761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007126A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 10389) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2020-01-08 |