| NPI | 1942672126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97697) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 67771) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2022-01-26 |