| NPI | 1497021349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005895) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW68948) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2016-11-17 |