| NPI | 1225805021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 138332) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 117170) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2026-04-29 |