| NPI | 1134517600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11557310-3501) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09926365) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-10-26 |