| NPI | 1417233578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW74795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 33661) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2021-11-03 |