| NPI | 1235221623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27469) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2014-01-10 |