| NPI | 1710015599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L5017SR) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS11989) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-06-02 |