| NPI | 1134366040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS28392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 005000) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2012-04-26 |