| NPI | 1295847663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2010022494) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 22407) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-11-08 |