| NPI | 1417236738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW79249) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 104100000) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2019-11-22 |