| NPI | 1356707590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW77926) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2021-02-23 |