| NPI | 1952789653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW96553) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8179) |
| 1041C0700X Social Worker, Clinical (Licence: KS LSCSW4547) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-11-29 |