| NPI | 1093375693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 255911) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-07-17 |