| NPI | 1568593168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 68954) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6042) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-01-23 |