| NPI | 1811287329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16997) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6977) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2025-09-12 |