| NPI | 1821695842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100391) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW66029) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2021-04-02 |