| NPI | 1801254982 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009305A) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123324) | 
| Enumeration Date | 2016-02-04 | 
| Last Update Date | 2023-07-25 |