| NPI | 1346594041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7842-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20069) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |