| NPI | 1922386234 |
|---|---|
| Former Name | VASUDHA DEVANATHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 69938) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health (Licence: CA 33346) | |
| 104100000X Social Worker (Licence: CA 33346) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2015-12-21 |