| NPI | 1174698815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS22546) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-06-17 |