| NPI | 1346671708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 38964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 59837) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2023-11-15 |