| NPI | 1760800320 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007429A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006800A) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2025-02-11 |