| NPI | 1164802195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 6834) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10262) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-12-17 |