| NPI | 1265536411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004028) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS21428) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2010-11-14 |