| NPI | 1881760981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27453) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 212) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-09-21 |