| NPI | 1982009726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 34410) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2026-04-25 |