| NPI | 1215415328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 114747) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 108148) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-08-08 |