| NPI | 1588765671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 4202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 18795) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-11-03 |