| NPI | 1548419062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214102) |
| 1041C0700X Social Worker, Clinical (Licence: MA 115294) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2024-04-10 |