| NPI | 1912533258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016357) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25866) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2024-02-28 |