| NPI | 1538423397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA MSW005981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 30517) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2013-06-13 |