| NPI | 1790807840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 64676) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 25224) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2015-05-27 |