| NPI | 1659796993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW65017) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW25866) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2015-05-08 |