| NPI | 1093352635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 7505-C) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2024-06-30 |