| NPI | 1619443413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L17941) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2026-04-28 |