| NPI | 1316075625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95085) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66208) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-09-05 |