| NPI | 1386082337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW94458) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW72152) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-04-13 |