| NPI | 1013191303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L6506) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 24243) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2022-04-05 |