| NPI | 1942079140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 118687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 118687) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-01-18 |