| NPI | 1255058657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW122927) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2024-06-04 |