| NPI | 1780243907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022850) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-04-19 |