| NPI | 1336692763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98965) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 71477) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-10-26 |