| NPI | 1265552236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 25419) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW12471) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-10-26 |