| NPI | 1073995775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102864) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 72809) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-10-02 |