| NPI | 1548328131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS15568) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-10-06 |