| NPI | 1508252305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122670) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6335) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-11-06 |