| NPI | 1225072895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS17809) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-07-16 |