| NPI | 1669012043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 84726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 360887-3501) |
| 1041C0700X Social Worker, Clinical (Licence: OR L4268) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |