| NPI | 1245270156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25659) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 2748723501) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-09-23 |