| NPI | 1043706674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105875) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 83916) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2022-01-05 |