| NPI | 1639620743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 0000009472) |
| 104100000X Social Worker (Licence: TN 000009472) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-01-24 |