| NPI | 1972795763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7697) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 62660) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-02-26 |