| NPI | 1659655702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW21136) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2015-08-12 |