| NPI | 1417264870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5452) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 68378133501) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2025-01-14 |