| NPI | 1427289503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 25116) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 003194) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |