| NPI | 1972377646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8639) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61622481) |
| 1041C0700X Social Worker, Clinical (Licence: OR L14854) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2026-03-13 |