| NPI | 1962990333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254212) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2021-12-22 |