| NPI | 1134278310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA lcs19782) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022162) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-11-23 |