| NPI | 1649673278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007698A) |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2024-11-03 |