| NPI | 1124000500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I05381) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS16337) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |