| NPI | 1821348160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007073A) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2015011591) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2019-06-19 |