| NPI | 1437912482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 128440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12716776-3501) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34009171A) | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2025-02-18 |