| NPI | 1144980491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23501) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |