| NPI | 1922645472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116563) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW93020) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW93020) | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-07-31 |