| NPI | 1811366487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85779) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 68719) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2019-03-15 |