| NPI | 1801122411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5476491-3501) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2023-06-07 |