| NPI | 1104683697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9247) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C11438) |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2025-03-24 |