| NPI | 1972843118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 62415) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 24657) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2019-02-13 |