| NPI | 1679950901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76164) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 63295) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2019-02-07 |