| NPI | 1558874610 |
|---|---|
| Former Name | ANITA ELIZABETH MOHANTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012991) |
| Additional Taxonomies | 251S00000X |
| 1041C0700X Social Worker, Clinical (Licence: NC P12078) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-07-29 |