| NPI | 1760620090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34005742A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA CSW003654) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2023-02-26 |