| NPI | 1205498961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8263) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 11331) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-07-12 |