| NPI | 1194957852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS25340) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002394) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-11-01 |