| NPI | 1386065274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 22777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115582) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2024-03-13 |