| NPI | 1346601648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19487) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW76139) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080971) | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2023-05-30 |