| NPI | 1508056748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-07641) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS23962) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2012-02-17 |