| NPI | 1013659606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113194) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81947) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2023-04-29 |