| NPI | 1225084478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904006892) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW 17595) |
| 1041C0700X Social Worker Clinical (Licence: TN 7591) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-04-06 |