| NPI | 1912038050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 21614) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS23083) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-12-10 |