| NPI | 1245427319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29474) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 22260) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2013-06-05 |