| NPI | 1629360706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6173) |
| 1041C0700X Social Worker, Clinical (Licence: SD 6289) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2023-03-08 |