| NPI | 1437820263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9045) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 13010) |
| 104100000X Social Worker (Licence: VA 0903003394) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904017631) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-12-16 |