| NPI | 1780712307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 4993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4993) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-03-31 |