| NPI | 1255386553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA lcs22992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR l3825) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |