| NPI | 1376749598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7261 123) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-05-26 |