| NPI | 1982091260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 76786) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34009570A) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2025-04-20 |