| NPI | 1730620535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02698) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-04-12 |