| NPI | 1659772119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW98871) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW67069) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2019-07-17 |