| NPI | 1386222008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 118843) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 97636) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2023-11-13 |