| NPI | 1811982697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 51236033501) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2016-12-05 |