| NPI | 1336281922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19518) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-05-29 |