| NPI | 1316450075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 72293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 72292) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |