| NPI | 1154665701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904010779) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS18234) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2018-12-21 |