| NPI | 1568597615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25060) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 18900) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-04-04 |