| NPI | 1659550713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 12534) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 26050) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2024-03-14 |