| NPI | 1861748147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 85210) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 30980) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-08-24 |