| NPI | 1265518856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 2846) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-01-11 |