| NPI | 1669679783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 17574) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2014-08-25 |