| NPI | 1700553005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L13223) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-12-01 |