| NPI | 1992039317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4179) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 4179) |
| 1041C0700X Social Worker, Clinical (Licence: CA 23771) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2023-02-09 |