| NPI | 1760964217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010376A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33007815A) |
| 1041C0700X Social Worker, Clinical (Licence: KY 258132) | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2023-07-06 |