| NPI | 1609947753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW85102) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089-0000959) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2018-09-04 |