| NPI | 1043571466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007659) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6085) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2025-11-18 |