| NPI | 1023652799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: CA 104100000X) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-12-16 |