| NPI | 1073745667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS25403) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25403) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2019-04-11 |