| NPI | 1457986093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9437) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 257758) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2024-10-01 |