| NPI | 1255564845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW69991) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 8600-C) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2020-07-24 |