| NPI | 1548713571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW94102) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2022-08-22 |