| NPI | 1467576678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L8133) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 62397) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-07-01 |