| NPI | 1720256969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS70824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW32081) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2016-03-30 |