| NPI | 1487198917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 10507) |
| 1041C0700X Social Worker, Clinical (Licence: FL FL16261) | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2023-10-09 |