| NPI | 1659753994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 119771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 9081-C) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 12698) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-03-27 |