| NPI | 1932613569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 104717) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2023-03-26 |