| NPI | 1104081215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110127) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 83583) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2023-12-22 |