| NPI | 1538270863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 17967) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS17967) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS17967) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-08-28 |