| NPI | 1760732671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 62035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 82390) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2018-04-25 |