| NPI | 1306038286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 65061) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 18205) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2017-03-07 |