| NPI | 1902420557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 118102) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2026-08-11 |