| NPI | 1366572554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23712) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2015-09-11 |