| NPI | 1447399563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS16743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1016650) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |