| NPI | 1477956720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L14815) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 103551) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2025-04-17 |