| NPI | 1275612814 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW 17520)  | 
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 566522)  | 
| Enumeration Date | 2006-11-03 | 
| Last Update Date | 2025-09-11 |