| NPI | 1275526980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 309873-3501) |
| Enumeration Date | 2005-08-27 |
| Last Update Date | 2024-03-17 |