| NPI | 1154612216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID lcsw 30443) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 18467) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2022-10-31 |