| NPI | 1184297830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013877) |
| 1041C0700X Social Worker, Clinical (Licence: NC C013653) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-04-11 |