| NPI | 1609003920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 66547) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 22187) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2019-02-08 |