| NPI | 1295811362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 23157) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW16271) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-11-13 |