| NPI | 1770624363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26832) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 18459) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-04-01 |