| NPI | 1700808912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27347) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA LCS 27347) |
| 174400000X Specialist (Licence: NY 066623-1) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-03-17 |