| NPI | 1629958509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 260097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 9984) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-12-11 |