| NPI | 1104469998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 88688) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 88688) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2023-05-10 |