| NPI | 1609014836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010270) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS28594) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2022-11-09 |