| NPI | 1306259478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116838) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15362) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-08-16 |