| NPI | 1811052509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS21405) |
| Enumeration Date | 2006-12-24 |
| Last Update Date | 2007-09-20 |