| NPI | 1194169474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 8311) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 10681) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-09-12 |