| NPI | 1689610677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 21877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 124837-3501) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-12-07 |