| NPI | 1811447683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94344) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 70366) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2024-01-06 |