| NPI | 1669257093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS M10041) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 14170) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |