| NPI | 1457995995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81823) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2021-06-17 |