| NPI | 1396187167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW76116) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW62633) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-03-17 |