| NPI | 1568831394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101875) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW78151) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2022-07-21 |