| NPI | 1902937881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW82554) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-02-18 |