| NPI | 1053512897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 61484) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW 17084) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-01-07 |