| NPI | 1124171186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA lcs18125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA csw003299) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2016-09-13 |