| NPI | 1043568462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011419) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS 28365) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2018-08-09 |