| NPI | 1720271497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 23681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW628507) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2022-05-25 |