| NPI | 1457645962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 16644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 3734) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |