| NPI | 1497062236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82927) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 64535) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2018-09-21 |