| NPI | 1366513236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW014523) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-05-12 |