| NPI | 1013071067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW82066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW69153) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW013499) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-11-15 |