| NPI | 1942426887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 22145) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015593) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-12-23 |