| NPI | 1386838175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 89018) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 003633) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2020-06-23 |