| NPI | 1699108761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2009008890) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5221) |
| 1041C0700X Social Worker, Clinical (Licence: TN 9990) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2025-10-10 |