| NPI | 1578903597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79272) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA ASW63658) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2023-05-15 |