| NPI | 1003935131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW25607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW14190) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-01-11 |