| NPI | 1255989083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124835) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 105330) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2025-09-29 |