| NPI | 1588661441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 14865) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C000366) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2007-12-31 |