| NPI | 1922384775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 6410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6410) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904005583) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2022-03-18 |