| NPI | 1164992061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW81639) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW81639) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2021-03-26 |