| NPI | 1396202149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A13029) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 77581) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2022-06-10 |