| NPI | 1053574202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 65194) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 65194) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-12-06 |