| NPI | 1366953226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW024176) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2024-07-02 |