| NPI | 1497408132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 11907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015414) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-10-09 |