| NPI | 1083915490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L8451) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: CA 75764) | |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2023-12-23 |