| NPI | 1245646173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7408) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008683) |
| 1041C0700X Social Worker, Clinical (Licence: NC C011253) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2023-02-06 |