| NPI | 1093268591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7963) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904011400) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2024-03-22 |