| NPI | 1326322579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW86941) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2020-04-17 |