| NPI | 1659845600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 15931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 110955) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2023-08-25 |