| NPI | 1366980260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 165433) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW86978) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2024-06-13 |