| NPI | 1861641466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26715) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-013458) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2012-03-05 |