| NPI | 1205124781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20879) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20897) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2022-05-25 |