| NPI | 1679908024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 87450) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW67783) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2019-07-19 |