| NPI | 1700214038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 81205) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 37317) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2024-10-09 |