| NPI | 1518123066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95182) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 34886) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-08-16 |