| NPI | 1457807265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009224) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 34011923A) |
| 1041C0700X Social Worker, Clinical (Licence: TN 9719) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2026-04-16 |