| NPI | 1659500882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS29109) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8198-123) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2020-04-09 |