| NPI | 1568627420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS28300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW24182) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2013-12-12 |