| NPI | 1134247398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26238) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 12563) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-08-26 |