| NPI | 1972990067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7505) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 22497) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2021-05-26 |