| NPI | 1215369483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ 21794) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 118526) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2024-08-20 |