| NPI | 1194959130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25047) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2023-01-26 |