| NPI | 1760556757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003900A) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-12-27 |