| NPI | 1558982967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117617) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW88461) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-09-06 |