| NPI | 1790551141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010760A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 258852) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2026-08-07 |