| NPI | 1245545912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6805-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81985) |
| 1041C0700X Social Worker, Clinical (Licence: UT 7976341-3501) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2019-01-09 |