| NPI | 1568700870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 118254) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006530A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34007274A) | |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2023-08-22 |