| NPI | 1568572782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS25914) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00008001) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-02-09 |