| NPI | 1053868497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 101971) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 77224) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-06-18 |