| NPI | 1891871794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009506) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 19030) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2021-01-06 |