| NPI | 1720797988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8577) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 11315) |
| 1041C0700X Social Worker, Clinical (Licence: OR L16164) | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2025-02-19 |