| NPI | 1164621272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 23337) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS 23337) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-06-20 |