| NPI | 1801101399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70386) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006595) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2022-07-21 |