| NPI | 1760181655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 9557) |
| 1041C0700X Social Worker, Clinical (Licence: LA 19031) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2025-08-11 |