| NPI | 1346767308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 010199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 96028) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2026-07-16 |