| NPI | 1891819058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25925) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56787) |
| 1041C0700X Social Worker, Clinical (Licence: CA 17478) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2021-08-12 |