| NPI | 1962442905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 1507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 8211) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |