| NPI | 1003012626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 23641) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116468) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2014-01-17 |