| NPI | 1881242279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25553) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 049731-1) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |