| NPI | 1790015857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34007043A) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 1041C0700X Social Worker Clinical (Licence: IN 99047651A) | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2014-08-28 |