| NPI | 1649597675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12586) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I0900259) |
| 1041C0700X Social Worker Clinical (Licence: CA LCS19183) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2023-05-10 |