| NPI | 1134878622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 13224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 256630) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |