| NPI | 1649054941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112477) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW138188) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |