| NPI | 1922123934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 77699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW20535) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-06-11 |