| NPI | 1255387700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20542) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 4738) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-09-11 |