| NPI | 1861767352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS28257) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 28257) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2016-02-25 |