| NPI | 1245423458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24497) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 13225) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2017-03-17 |