| NPI | 1952477150 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24478)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 17335)  | 
| Enumeration Date | 2006-11-28 | 
| Last Update Date | 2009-07-16 |