| NPI | 1740885599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007958) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW22016) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW09928440) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-07-24 |