| NPI | 1366009045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-39881) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 73018) |
| 1041C0700X Social Worker Clinical (Licence: ID 39881) | |
| 1041C0700X Social Worker Clinical (Licence: CA 92355) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-07-25 |