| NPI | 1134178692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA L 8266) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA L8266) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-05-16 |