| NPI | 1710140454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29212) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 24050) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-05-11 |