| NPI | 1639354764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW76277) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2017-09-20 |