| NPI | 1639898125 |
|---|---|
| Former Name | ANGANA DATTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29078) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 15238) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |