| NPI | 1003016247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26729) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW20900) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2010-09-01 |