| NPI | 1750312559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 100497) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-05-05 |