| NPI | 1194310573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN TN8700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C10843) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2025-12-05 |