| NPI | 1124625041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 13442) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MS M9755) |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2024-09-26 |