| NPI | 1962411934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 3070) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-10-19 |