| NPI | 1285841452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 59895) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016455) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-08-19 |