| NPI | 1245356633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26991) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 19439) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-02-25 |