| NPI | 1497916134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73396) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW63875) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-01-23 |