| NPI | 1992490122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9683) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 11631) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2026-01-23 |