| NPI | 1194037663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74474) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4196) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2020-05-20 |