| NPI | 1508483348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 77748) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2022-09-28 |