| NPI | 1073767729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 59630) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 10) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2023-07-10 |