| NPI | 1861922874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7298) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: TN 000700134) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2020-10-05 |