| NPI | 1508894940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 07091825C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 4567812) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-04-26 |