| NPI | 1770877789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100056) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW78753) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA asw78753) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2021-03-10 |