| NPI | 1487839809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7604-123) |
| 1041C0700X Social Worker, Clinical (Licence: NC C005747) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2018-03-17 |