| NPI | 1235851569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 129765) |
| 1041C0700X Social Worker, Clinical (Licence: TN 8527) | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2026-04-22 |