| NPI | 1821410044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 6846) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 9614) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2021-01-11 |