| NPI | 1497883201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW64156) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-04-27 |