| NPI | 1154963924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112227) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 86437) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2022-12-05 |