| NPI | 1497798482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 3214) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 103396) |
| 1041C0700X Social Worker Clinical (Licence: CA LCS14522) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-07-06 |