| NPI | 1700306818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C-9767) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10407) |
| 1041C0700X Social Worker, Clinical (Licence: TN 6738) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-02-26 |