| NPI | 1851580104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006836) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2023-09-07 |