| NPI | 1790972958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6126) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 3082993-3501) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2022-03-29 |