| NPI | 1225755093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8308) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-08-17 |