| NPI | 1548391725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 21361) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OK 4734) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-04 |