| NPI | 1174076723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-12142) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 116735) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2023-07-30 |