| NPI | 1295859759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992531) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801089569) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-06-18 |