| NPI | 1013533231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW38161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 15915) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-05-09 |