| 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 | 2025-10-08 |