| NPI | 1154630168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76159) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 30581) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2017-07-12 |