| NPI | 1508147356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85781) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34124) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2022-01-03 |