| NPI | 1942449236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27051) |
| Additional Taxonomies | 251S00000X (Licence: MA 114992) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2021-03-30 |