| NPI | 1003039587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 18040) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-11-13 |