| NPI | 1124756465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C12111) |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2026-07-27 |