| NPI | 1265781371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 33727) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2020-11-02 |