| NPI | 1972735579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 22644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 28613) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2012-10-12 |