| NPI | 1255511341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 63767) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 22866) |
| 1041C0700X Social Worker Clinical (Licence: CA 59532) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2016-05-24 |