| NPI | 1255628111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75364) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 28730) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-08-06 |