| NPI | 1134481146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95635) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW62075) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2021-09-17 |