| NPI | 1700138302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW75914) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW60699) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2022-07-21 |