| NPI | 1730515131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77193) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 62996) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2021-03-24 |