| NPI | 1306153671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78718) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW73523) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2021-03-04 |