| NPI | 1699963801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26175) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 15926) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2013-03-25 |