| NPI | 1972667095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS4415) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ABE 3625 BCD) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |