| NPI | 1083376461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8938) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000224899) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-01-11 |