| NPI | 1023169653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P006735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW27645) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-11-28 |