| NPI | 1003635988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 11392-C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 116009) |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |