| NPI | 1336473487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 59905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 18268) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2019-12-18 |