| NPI | 1609520873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 133985) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 112249) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2025-09-30 |