| NPI | 1689098147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW64084) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW 36941) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2021-12-08 |