| NPI | 1891817037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO #785) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS20973) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2016-03-25 |