| NPI | 1659542470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61048024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW25291) |
| 1041C0700X Social Worker, Clinical (Licence: CA 25291) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2021-06-15 |