| NPI | 1063470300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6496) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C008652) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-05-28 |