| NPI | 1619232402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6917) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 9829) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2019-03-07 |