| NPI | 1275146987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99235) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 63227) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-04-25 |