| NPI | 1396547253 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8581) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: TN 000715892) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |