| NPI | 1710752027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 124074) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-03-07 |