| NPI | 1174846752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74805) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 34467) |
| 1041C0700X Social Worker, Clinical (Licence: MA 215409) | |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2018-06-01 |