| NPI | 1871355453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 138320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 118250) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2026-06-16 |