| NPI | 1356776587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94301) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 67508) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2020-07-08 |