| NPI | 1306216759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 103626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW68557) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2024-07-11 |