| NPI | 1811237134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 006115) |
| Enumeration Date | 2013-02-23 |
| Last Update Date | 2021-08-03 |