| NPI | 1255651865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 28337) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2012-03-30 |