| NPI | 1396757258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW27888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW19299) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-11-20 |