| NPI | 1841413358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS21796) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2021-02-01 |