| NPI | 1295891984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 12845) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 1026997) |
| 1041C0700X Social Worker Clinical (Licence: TN 5608) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2024-02-17 |