| NPI | 1659701811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 904014405) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2023-05-22 |