| NPI | 1730358730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24418) |
| 1041C0700X Social Worker, Clinical (Licence: HI 3699) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2020-04-08 |