| NPI | 1760715296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99612) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 31525) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2023-10-24 |