| NPI | 1447300215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 008101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26615) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-05-05 |