| NPI | 1295972750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CO 991067) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 10070) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |