| NPI | 1922699743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110841) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008877) |
| 104100000X Social Worker (Licence: MD 23050) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-11-17 |