| NPI | 1790371862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75548) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW020751) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082712) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |