| NPI | 1780452151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L30028) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34011543A) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2025-08-13 |