| NPI | 1750391678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7280-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 20622) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-01-21 |