| NPI | 1689816324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 13006) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: UT 12941003-3501) |
| 1041C0700X Social Worker Clinical (Licence: CA 87493) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2023-12-02 |