| NPI | 1982850640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 24435) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: CA 080170494) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |