| NPI | 1801067798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 12125) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CA 12125) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2016-05-31 |