| NPI | 1548678105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34007801A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006383A) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2017-09-15 |