| NPI | 1811120421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28535) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005770A) |
| Enumeration Date | 2009-08-30 |
| Last Update Date | 2016-06-17 |