| NPI | 1104074863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 64159) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW27448) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2018-03-20 |