| NPI | 1962775320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5251) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26118) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |