| NPI | 1669696340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25855) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 15391) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-01-22 |