| NPI | 1174810063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 124089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 124089) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2026-06-18 |