| NPI | 1104084615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 20014) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2021-08-27 |