| NPI | 1508619362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7746) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11956) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |