| NPI | 1437303336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83068) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 30360) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.013225) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2019-01-09 |