| NPI | 1639200801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24465) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 14471) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2021-08-18 |