| NPI | 1891962817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24588) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074568) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-08-30 |