| NPI | 1568115459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16755) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2025-09-03 |