| NPI | 1598903924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5133) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 7350) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904007981) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2024-11-12 |