| NPI | 1972521037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006568A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8336-123) |
| 1041C0700X Social Worker, Clinical (Licence: NY 076196) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 27291) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-07-13 |