| NPI | 1073266656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 259675) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2025-12-16 |