| NPI | 1568743979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 66153) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L8509) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2022-07-12 |