| NPI | 1063596583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64605) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW35066) |
| 104100000X Social Worker (Licence: CA LCS29806) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS29806) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-02-22 |