| NPI | 1104952340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 19265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19265) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2023-12-04 |