| NPI | 1982906061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009153A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113516) |
| 1041C0700X Social Worker, Clinical (Licence: CA 101959) | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2021-11-18 |