| NPI | 1750123386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20692) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2024006447) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904016239) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ 22131) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |