| NPI | 1982189346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 106571) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 85171) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2025-04-09 |