| NPI | 1265833388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7566) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR L7566) |
| 104100000X Social Worker (Licence: CA 36490) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2023-05-13 |