| NPI | 1659665081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS64660) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008036) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2014-12-03 |