| NPI | 1578095279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009446A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 28629) |
| 1041C0700X Social Worker, Clinical (Licence: WI 9708-123) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2021-10-14 |