| NPI | 1619333101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007444A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 99310) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2022-06-30 |