| NPI | 1336492172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 70729) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L15115) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2024-06-26 |