| NPI | 1366884041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79591) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 29043) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2017-11-27 |