| NPI | 1063716561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS62882) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW 28499) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2014-10-20 |