| NPI | 1184792301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 27074) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW19281) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-03-24 |