| NPI | 1700188943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 65073) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW60489) |
| 104100000X Social Worker (Licence: NY 081869-1) | |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2018-05-31 |