| NPI | 1962886275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007587A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P0008780) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2021-03-03 |