| NPI | 1932663002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7511) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000010683) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2021-08-11 |