| NPI | 1417629965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007874) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2022-10-03 |