| NPI | 1255099156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904015499) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 8676) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2023-07-04 |