| NPI | 1902261258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 88505) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW66779) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2019-05-01 |