| NPI | 1275774481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006196) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 9841) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |