| NPI | 1003053760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-06263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS17604) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2011-09-26 |