| NPI | 1588784169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 62684) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923753) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-09-06 |