| NPI | 1043769482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW120258) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW89580) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2024-10-30 |