| NPI | 1104035153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28236) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 214238) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2017-04-07 |