| NPI | 1396160438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79739) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA asw36718) |
| 104100000X Social Worker | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2019-10-09 |