| NPI | 1316911548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS22650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013645) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-02-20 |