| NPI | 1538340369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 30553) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 6635928-3503) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2011-06-23 |