| NPI | 1639504301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 84863) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 33500) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2019-02-26 |