| NPI | 1255663811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85699) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW36182) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2018-09-11 |