| NPI | 1356741060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85470) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 63204) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2022-02-11 |