| NPI | 1306151998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 36624) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2018-03-16 |