| NPI | 1669763140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW60956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW28704) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2016-06-16 |