| NPI | 1801106174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 62064) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 29239) |
| 1041C0700X Social Worker, Clinical (Licence: CA 62064) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2014-08-27 |