| NPI | 1790982122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS20475) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-07-06 |