| NPI | 1861058075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 67571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6335) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2022-02-28 |