| NPI | 1710211818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 338051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 88670) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2026-01-09 |