| NPI | 1013555770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015665) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2025-03-24 |