| NPI | 1700923240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 3136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 15964) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-01-23 |