| NPI | 1194511964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008618) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5903C) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2026-08-24 |