| NPI | 1861688517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117280) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2021-07-12 |