| NPI | 1700433034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8704) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 0000009264) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2025-10-16 |