| NPI | 1114274651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93647) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 36953) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2020-08-31 |