| NPI | 1023391042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 9443-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS M7914) |
| 1041C0700X Social Worker, Clinical (Licence: TN 8655) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2025-06-18 |