| NPI | 1932749363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102047) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW77217) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-04-12 |