| NPI | 1447475678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS7194) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2014-10-24 |