| NPI | 1639794217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 13092) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-09-30 |