| NPI | 1649396714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 24734) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 17061) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-05-22 |