| NPI | 1780852509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16635) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20921) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2019-04-24 |