| NPI | 1134768203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93588) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 109951) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2023-04-05 |