| NPI | 1720384704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28525) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 5506-S) |
| 1041C0700X Social Worker, Clinical (Licence: NV 8771-C) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2022-12-12 |