| NPI | 1154671899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW92048) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW60456) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2023-02-21 |