| NPI | 1679024855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103758) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW74080) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-01-11 |