| NPI | 1144781733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: CA 88290) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 88290) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2021-07-19 |