| NPI | 1134503253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88652) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2022-04-21 |