NPI | 1821633090 |
---|---|
Former Name | REENA RANI POLEPAKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028174) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2019-11-12 |
Last Update Date | 2025-06-17 |