| NPI | 1558588996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 20946) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 8402) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-04-04 |