| NPI | 1205074762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 6575) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 2824) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |