| NPI | 1295072460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80441) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34891) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2018-03-29 |