| NPI | 1336534163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73547) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 36233) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-06-24 |