| NPI | 1285145458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12602744-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 64432) |
| 104100000X Social Worker (Licence: CA 91134) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2022-11-23 |