| NPI | 1851836548 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008437A) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33007710A) | 
| Enumeration Date | 2017-01-04 | 
| Last Update Date | 2020-09-29 |