| NPI | 1629213202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 6116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 00122-C) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |