| NPI | 1639337975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6597) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA n/a) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2017-11-09 |