| NPI | 1013328491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 70644) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 33572) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-10-10 |