| NPI | 1558814822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7417) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10212) |
| 1041S0200X Social Worker, School (Licence: TN 623990) | |
| 1041S0200X Social Worker, School (Licence: IL 2292306) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2021-08-17 |