| NPI | 1811133416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 60954) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 24833) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2021-04-01 |