| NPI | 1770271215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5176G) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 10065) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2026-08-11 |