| NPI | 1619902152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 14698) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS 14690) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-06-23 |