| NPI | 1417152992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 18090) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-04-21 |