| NPI | 1902001266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 25127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19188) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-11-21 |