| NPI | 1255737672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76324) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 36905) |
| 104100000X Social Worker (Licence: CA 76324) | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2019-04-03 |