| NPI | 1710207386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 21862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60301219) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1303431-SUPV) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C002370) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2023-05-02 |