| NPI | 1922521848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 84304) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2023-07-07 |