| NPI | 1013045095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6958) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-07-21 |