| NPI | 1326154121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 2385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19785) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |