| NPI | 1831312784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 19019) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-04-19 |