| NPI | 1811177637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 14404) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2024-10-20 |