| NPI | 1982967410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4098) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-07-11 |