| NPI | 1770140626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98579) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 9099-C) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2021-11-29 |