| NPI | 1659674661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9356) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 16764) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2025-02-27 |