| NPI | 1114108446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 21165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009755) |
| 1041C0700X Social Worker, Clinical (Licence: NY 075327-1) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2019-09-16 |