| NPI | 1427607357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW20995) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS18282) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-02-21 |