| NPI | 1528279759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27356) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114040) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2011-05-09 |