| NPI | 1073902482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 73748) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2019-06-13 |