| NPI | 1710554738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124848) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 103274) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2026-02-26 |