| NPI | 1013015494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 68076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904004237) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-02-08 |