| NPI | 1467973552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 86274) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 67863) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-02-06 |