| NPI | 1225344799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29399) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27216) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2020-09-22 |