| NPI | 1639471832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70387) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW33330) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2016-09-22 |