| NPI | 1427526664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123186) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2022-04-21 |