| NPI | 1962788570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 28268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012882) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2013-12-05 |