| NPI | 1194174938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 128321) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 95978) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-02-12 |