| NPI | 1972664159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS27214) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LC 10015) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW 23427) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-07-24 |