| NPI | 1710233804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 75254) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 36706) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2018-10-29 |