| NPI | 1710264742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007137A) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2015-01-26 |