| NPI | 1255516175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 29424) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW 22966) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2019-09-27 |