| NPI | 1902080948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 27956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085582) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2012-07-30 |