| NPI | 1083796924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73215) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-05-19 |