| NPI | 1023216066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20764) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: CA 20674) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |